自评心理健康代表着什么。
What does Self Rated Mental Health Represent.
作者信息
Levinson Daphna, Kaplan Giora
机构信息
Ministry of Health , Jerusalem.
Certner Institute for Epidemiology and Health Policy Research, Sheba Medical Center , Israel.
出版信息
J Public Health Res. 2014 Dec 2;3(3):287. doi: 10.4081/jphr.2014.287.
BACKGROUND
Unlike the widely used self rated health, the self rated mental health was found unsuitable as a proxy for mental illness. This paper analyses the relationships between the self ratings of physical health, mental health and overall health, and their association of with the objective indicators for physical and mental health.
DESIGN AND METHODS
The study is a secondary analysis of data from a nationwide representative sample of the non-institutionalized adult residents of Israel in 2003 that was collected via computer-assisted personal interview methods [n=4859].
RESULTS
The self rated physical health and the self rated mental health were strongly related to each other yet the self rated mental health was not related to chronic physical conditions and the self rated physical health was not related to mental disorders. In a multiple logistic regression analysis, those with positive self rated mental health had 93 times the odds of reporting positive overall health whereas those with positive self rated physical health had 40 times the odds of reporting positive overall health.
CONCLUSIONS
The self rating of mental health presents a qualitatively different dimension from mental illness. The self rated mental health is two times more important than the self rated physical health in predicting the self rated overall health Significance for public healthThe present study is an original study on the self rated physical, mental and overall health measures. Because of the wide range of associations with other health indicators, and the simplicity with which they are collected, self-rated health measures are widely used in large population surveys.The present study questions the automatic assumption that the self rated mental health functions as a proxy measure of psychiatric morbidity, and suggests that the self rated mental health is more closely related to subjective well-being. The results show that self rated mental health predicts self rated general health better than self rated physical health.
背景
与广泛使用的自评健康状况不同，自评心理健康状况被发现不适宜作为精神疾病的替代指标。本文分析了身体健康、心理健康和总体健康自评之间的关系，以及它们与身心健康客观指标的关联。
设计与方法
本研究是对2003年以色列非机构化成年居民全国代表性样本数据的二次分析，数据通过计算机辅助个人访谈方法收集[n = 4859]。
结果
自评身体健康和自评心理健康彼此密切相关，但自评心理健康与慢性身体状况无关，自评身体健康与精神障碍无关。在多元逻辑回归分析中，自评心理健康状况为积极的人报告总体健康状况为积极的几率是其他人的93倍，而自评身体健康状况为积极的人报告总体健康状况为积极的几率是其他人的40倍。
结论
心理健康自评呈现出与精神疾病在性质上不同的维度。在预测自评总体健康状况方面，自评心理健康比自评身体健康重要两倍。对公共卫生的意义本研究是关于自评身体、心理和总体健康指标的原创性研究。由于与其他健康指标的关联广泛，且收集方式简单，自评健康指标在大规模人群调查中被广泛使用。本研究对自评心理健康可作为精神疾病发病率替代指标的自动假设提出质疑，并表明自评心理健康与主观幸福感的关系更为密切。结果表明，自评心理健康比自评身体健康更能预测自评总体健康状况。
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